212 (219)    ADJUSTMENT REASON (161.91)

Name Value
CODE 212
STATUS EFFECTIVE DATE
  • 2007-11-05 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Administrative surcharges are not covered
SUSPENSION DESCRIPTION 
Administrative surcharges are not covered
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP